REGISTERED NURSE HOME CARE CLINICAL DIRECTOR - BLEHEALTH, LLC

•   Coordinates and oversees all direct and indirect patient services provided by clinical organization personnel.
• Assist with Home Care, Home Health, and Home Infusion therapy setup and maintenance.
• Supervise HCA, operation managers, LCM, CHW
• Assist with hiring of HCA and LCM, CHW, and other clinical staff
• Evaluates performance HCA and LCM, CHW, and other staff
• Evaluates performance of Clinical Managers.
•  Conducts client’s assessment
•  Conducts case management and care coordination
• Provides guidance and counseling to coordinators, care managers, and CHWs.
• Assists Home Care Aid, Care Managers, and CHWs in managing patients.
•  Provides help in assessment, planning, implementation and evaluation of patient and family/caregiver care to all clinical personnel as indicated.
• Interprets operational indicators to detect census changes and increases or decreases in volume, which could impact staffing levels, revenues or expenses.
• Assists Clinical Managers to develop skills and techniques in evaluating the performance of clinicians.
• Conducts clinician performance evaluations annually, or more frequently if indicated.
• Oversees the maintenance of patient clinical records, statistics, reports and records for purposes of evaluation and reporting of organization activities.
• Assures proper maintenance of clinical records in compliance with local, state and federal laws.
• Responsible for the maintenance of adequate and appropriate inventory supplies and equipment for the provision of patient services.
• Develops, implements and evaluates the orientation program for new organization personnel. Responsible for orientation of new organization personnel, either directly or by delegating to another staff member.
• Plans and implements in-service and continuing education programs to meet education and training needs of organization personnel.
• Assists with the evaluation of organization performance via performance improvement program, productivity, quarterly and annual reviews. Assures for the quality and safe delivery of home care, care management, community supports services provided through the Organization.
• Assists in the development of organization goals. Develops, recommends, and administers Organization policies and procedures.
•  Assures compliance with all local, state and federal laws regarding licensure and certification of organization personnel and, maintains compliance.
• Stays informed about changes in the field of nursing and home care; shares information with appropriate organization personnel.
•  Promotes home care referrals in the health care community.
• Deploys marketing and business strategies to expand the services
• Perform other duties as requested
•  The Clinical Director is responsible for clinical oversight of BLEHEALTH CHWs, lead care managers, Home Care aides, and housing navigators, who address the patient’s medical and behavioral health needs and social determinants of health.
•  The Clinical Director will communicate directly with Case Managers and with patients via telephone, or during in-person, Interdisciplinary Care Team meetings (as needed), to discuss medication management/adherence, ensure appropriate follow up with Primary Care Provider, Behavioral Health Provider and other specialist(s)
• They will provide guidance during any emergency situations encountered by Case Managers
• The Clinical Director will collaborate with the broader care team (PCP, BH clinicians, etc.) to provide client advocacy and ensure that the enrollees are receiving needed services and measuring progress towards the goals outlined in their patient-centered care plan
• Provides Clinical Oversight of Health Risk Assessments and determines if Member’s Care Management needs are sufficient to be managed by a Lead Care Manager or require the Consultant’s intervention in the form of recommendations to implement in their Care Plan
• Participates in developing patient-centered care plans for the enrollees on their panel
• Approves initial care plan and biannual updates
• Actively consults with Care Managers to review medical visit summaries, discharge papers, prepare for upcoming appointments, or review appointment outcomes
• Provides health and preventive care education for acute health conditions, chronic disease management, and medication monitoring
• Engages vulnerable populations as part of a multidisciplinary outreach team
• This includes home visits, accompaniment to appointments, outreach to hospitals, homeless shelters and other settings, as needed.
• Uses data to evaluate outcomes from targeted interventions
• Assists in developing appropriate adjustments to care plans based on this data
• Helps to expand programming that addresses SDoH and enhances connections to community-based organizations.
• Works with hospitals to coordinate hospital admission/discharge plans with the behavioral health clinician, PCP, pertinent specialists and other organizations with the goal of preventing readmission, if possible
• Performs timely medication reconciliation following transitions in care
•  Supports medication adherence
• Perform chart review and case conferences with Case Managers
• Implements prevention & engagement activities
• Engages in quality improvement efforts
• Manages effectiveness of service delivery through ongoing supervision of all team members
• Ongoing client care coordination documentation monitoring includes assessments, care plans, community support referrals, outcome measures, and progress notes
• Ensures timely and high-quality documentation of services in accordance with all agency and contractual requirements
• Train, monitor, and support staff to provide appropriate services to managed care members and ensure ongoing achievement of quality measures
• Ensure culturally appropriate and timely in-person activities
• Maintains ongoing communication with managed care providers (MCP) and other contractual partners
• Ongoing communication and collaboration with MCP, provide updates on program efforts
• Ensure timely outreach to eligible members
• Responsible for timely reporting, billing, and effectiveness of data management systems
• Ensure accurate data input in compliance with MCP standards and requirements
• Work with the organization as necessary to carry out supervisorial responsibilities
• Provide weekly supervision to all team members
•  Assist with Home Care, Home Health setup and maintenance.
• Analyze and identify tailored solutions for our member's specific needs, aligning with their unique requirements.
•  Mastery of Home Care Marketing and Solution-Selling Techniques: Acquire proficiency in effective marketing strategies and solution-selling techniques tailored to the home care industry.
• Development of a Super Network: Build a robust super network to enhance member acquisition, fostering strong connections within the industry.

QUALIFICATIONS:

MUST BE A REGISTERED NURSE

1. Registered nurse with current licensure to practice professional nursing in the State of California.

2. Bachelor’s degree in Nursing from an accredited program by the National League for

Nursing. Master’s degree in health care preferred.

3. Three years of management experience within the last five years in a home health or

related health care organization, at least one year of which was a supervisory or

administrative capacity.

4. A registered nurse with four years of experience within the last five years in a home care

agency, primary care clinic or health facility, at least one year of which was in a

supervisory or administrative capacity.

5. Demonstrated ability to supervise and direct professional administrative personnel.

6. Knowledge and expertise in clinical decision-making and Quality Management review and

evaluation.

7. Ability to market and deal tactfully with customers and the community.

8. Must be a licensed driver with an automobile that is insured in accordance with state and/or

Organization requirements and is in good working order.

9. Has excellent observation, verbal and written communication skills.

10. Knowledge of business management, governmental regulations and Joint Commission

standards.

11. Participation in Quality Assurance/Performance Improvement Program